Marketing Department, Feng Chia University, Taichung, Taiwan.
Business Administration Department, Overseas Chinese University, Taichung, Taiwan.
J Altern Complement Med. 2019 Dec;25(12):1206-1214. doi: 10.1089/acm.2019.0183. Epub 2019 Oct 3.
To quantify differences in patient expectations of healthscape (e.g., interior environment) across Western medicine (WM) and Traditional Chinese Medicine (TCM) paradigms. Primary survey data comprise 469 Taiwanese consumers. National insurance coverage of both TCM and WM is an ideal setting to test for differences in healthscape expectations. Respondents report their recent experience as either exclusive users of TCM, exclusive WM, neither, or dual usage (both TCM and WM), and are randomly assigned to one of two surveys (identical except one refers to WM contexts, the other TCM) to rate the importance of 28 healthscape factors derived from previous studies. Multivariate analysis of variance is used to test the research hypotheses. Dual users accept some differences across paradigms. In contrast, exclusive WM users apply their existing WM expectations to TCM contexts, raising the possibility of dissatisfaction and low adoption. A person's experience with TCM is related to acceptance of healthscape differences. Medical service providers of TCM, and by extension complementary and alternative medicine, should devise strategies to ease initial visitation by exclusive WM users. Healthscape designs need not be modeled closely on a WM standard, as dual users accept differences.
为了量化在西方医学（WM）和传统中医（TCM）范式下患者对健康景观（例如室内环境）的期望差异。主要调查数据包括 469 名台湾消费者。TCM 和 WM 的国家保险覆盖范围是测试健康景观期望差异的理想环境。受访者报告了他们最近的经历，要么是 TCM 的独家使用者，要么是 WM 的独家使用者，要么是两者都不是，要么是两者都有（TCM 和 WM 都有），并被随机分配到两个调查中的一个（除了一个是 WM 环境，另一个是 TCM 环境外，其余都相同），以评估从先前研究中得出的 28 个健康景观因素的重要性。使用方差分析来检验研究假设。双重使用者接受了跨范式的一些差异。相比之下，WM 的独家使用者将他们现有的 WM 期望应用于 TCM 环境，这增加了不满和低采用的可能性。一个人对 TCM 的体验与对健康景观差异的接受程度有关。TCM 的医疗服务提供者，以及广义上的补充和替代医学，应该制定策略，以缓解 WM 独家使用者的初次就诊。健康景观设计不必严格按照 WM 标准建模，因为双重使用者接受差异。
